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Individual

MR. DANIEL EDWARD GALL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
145 S CHAMBERLAIN ST, ROSEVILLE, IL 61473-9581
(309) 426-2134
Mailing address
556 28TH AVE, EAST MOLINE, IL 61244-3142
(309) 737-1871

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
160003596

Other

Enumeration date
12/05/2008
Last updated
12/05/2008
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